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Colorado rates for HCPCS 90677

Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.30 / $341.25 / $948.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.66 / $381.49 / $840.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.06 / $549.39 / $1,001.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.37 / $329.37 / $329.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.55 / $307.55 / $307.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.55 / $307.55 / $307.55
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.89 / $312.89 / $447.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.68 / $344.19 / $513.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $329.52 / $334.54